CA2842350A1 - Dispositif d'ablation et cartographie sur maille superposee - Google Patents
Dispositif d'ablation et cartographie sur maille superposee Download PDFInfo
- Publication number
- CA2842350A1 CA2842350A1 CA2842350A CA2842350A CA2842350A1 CA 2842350 A1 CA2842350 A1 CA 2842350A1 CA 2842350 A CA2842350 A CA 2842350A CA 2842350 A CA2842350 A CA 2842350A CA 2842350 A1 CA2842350 A1 CA 2842350A1
- Authority
- CA
- Canada
- Prior art keywords
- mesh
- medical system
- tissue
- expandable element
- electrically
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 238000002679 ablation Methods 0.000 title description 32
- 238000013507 mapping Methods 0.000 title description 12
- 239000012530 fluid Substances 0.000 claims abstract description 47
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/0022—Balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
- A61B2018/00357—Endocardium
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00577—Ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00613—Irreversible electroporation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
- A61B2018/00797—Temperature measured by multiple temperature sensors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
- A61B2018/00815—Temperature measured by a thermistor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
- A61B2018/00821—Temperature measured by a thermocouple
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00994—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0231—Characteristics of handpieces or probes
- A61B2018/0237—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0231—Characteristics of handpieces or probes
- A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1435—Spiral
- A61B2018/1437—Spiral whereby the windings of the spiral touch each other such as to create a continuous surface
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Otolaryngology (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Cardiology (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US13/194,180 US9387031B2 (en) | 2011-07-29 | 2011-07-29 | Mesh-overlayed ablation and mapping device |
| US13/194,180 | 2011-07-29 | ||
| PCT/US2012/046479 WO2013019378A1 (fr) | 2011-07-29 | 2012-07-12 | Dispositif d'ablation et cartographie sur maille superposée |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2842350A1 true CA2842350A1 (fr) | 2013-02-07 |
| CA2842350C CA2842350C (fr) | 2016-10-11 |
Family
ID=46584362
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2842350A Active CA2842350C (fr) | 2011-07-29 | 2012-07-12 | Dispositif d'ablation et cartographie sur maille superposee |
Country Status (5)
| Country | Link |
|---|---|
| US (2) | US9387031B2 (fr) |
| EP (1) | EP2736432B1 (fr) |
| CN (1) | CN103796603B (fr) |
| CA (1) | CA2842350C (fr) |
| WO (1) | WO2013019378A1 (fr) |
Families Citing this family (74)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8382746B2 (en) | 2008-11-21 | 2013-02-26 | C2 Therapeutics, Inc. | Cryogenic ablation system and method |
| WO2012135786A2 (fr) * | 2011-04-01 | 2012-10-04 | The Regents Of The University Of California | Systèmes et méthodes cryoélectriques de traitement de matière biologique |
| AU2012312066C1 (en) | 2011-09-22 | 2016-06-16 | 460Medical, Inc. | Systems and methods for visualizing ablated tissue |
| US9014789B2 (en) | 2011-09-22 | 2015-04-21 | The George Washington University | Systems and methods for visualizing ablated tissue |
| US10182725B2 (en) | 2012-02-10 | 2019-01-22 | Intermountain Intellectual Asset Management, Llc | Anatomical vessel heat sensors |
| US10736773B2 (en) * | 2013-03-13 | 2020-08-11 | Advanced Cooling Therapy, Inc. | Devices, systems, and methods for managing patient temperature and correcting cardiac arrhythmia |
| WO2014195933A1 (fr) * | 2013-06-05 | 2014-12-11 | Tel Hashomer Medical Research Infrastructure And Services Ltd. | Ablation myocardique par électroporation irréversible |
| JP6737705B2 (ja) | 2013-11-14 | 2020-08-12 | ザ・ジョージ・ワシントン・ユニバーシティＴｈｅ Ｇｅｏｒｇｅ Ｗａｓｈｉｎｇｔｏｎｕｎｉｖｅｒｓｉｔｙ | 損傷部位の深さを決定するシステムの動作方法及び心臓組織の画像を生成するシステム |
| US20150141847A1 (en) | 2013-11-20 | 2015-05-21 | The George Washington University | Systems and methods for hyperspectral analysis of cardiac tissue |
| EP3091921B1 (fr) * | 2014-01-06 | 2019-06-19 | Farapulse, Inc. | Appareil pour ablation de dénervation rénale |
| US9597140B2 (en) | 2014-01-31 | 2017-03-21 | Medtronic Cryocath Lp | Accessory to allow sensing at balloon interface |
| US9925359B2 (en) | 2014-03-21 | 2018-03-27 | Medtronic Cryocath Lp | Balloon design to reduce distal length |
| US9855089B2 (en) | 2014-03-21 | 2018-01-02 | Medtronic Cryocath Lp | Shape changing ablation balloon |
| US10159486B2 (en) | 2014-05-21 | 2018-12-25 | The Regents Of The University Of Michigan | Fenestrated decoupling system for internal selective attachment to soft tissue organs |
| WO2015192027A1 (fr) | 2014-06-12 | 2015-12-17 | Iowa Approach Inc. | Procédé et appareil d'ablation transurétrale de tissu rapide et sélective |
| WO2016060983A1 (fr) | 2014-10-14 | 2016-04-21 | Iowa Approach Inc. | Procédé et appareil pour l'ablation rapide et sûre d'une veine cardiopulmonaire |
| WO2016073492A1 (fr) * | 2014-11-03 | 2016-05-12 | Luxcath, Llc. | Systèmes et procédés d'évaluation de qualité de contact |
| US10722301B2 (en) | 2014-11-03 | 2020-07-28 | The George Washington University | Systems and methods for lesion assessment |
| US10117738B2 (en) | 2015-01-23 | 2018-11-06 | The Regents Of The University Of Michigan | Atraumatic tip geometry for indwelling devices |
| US10271899B2 (en) | 2015-03-18 | 2019-04-30 | Medtronic Cryocath Lp | Multi-function device with treatment and sensing capabilities |
| US10779904B2 (en) | 2015-07-19 | 2020-09-22 | 460Medical, Inc. | Systems and methods for lesion formation and assessment |
| JP6695961B2 (ja) * | 2015-08-05 | 2020-05-20 | ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． | 拡張可能バルーンマッピング及びアブレーションデバイス |
| EP3950050A1 (fr) | 2015-08-06 | 2022-02-09 | Medtronic, Inc. | Ablation cardiaque par champ pulsé |
| EP3349676A4 (fr) * | 2015-09-18 | 2019-05-15 | Adagio Medical, Inc. | Système de vérification de contact de tissu |
| US12207863B2 (en) | 2015-10-29 | 2025-01-28 | Innoblative Designs, Inc. | Screen sphere tissue ablation devices and methods |
| WO2017096133A1 (fr) | 2015-12-03 | 2017-06-08 | Mayo Foundation For Medical Education And Research | Modification thermique pour traiter des troubles électriques cardiaques et d'autres troubles |
| WO2017117582A1 (fr) | 2015-12-30 | 2017-07-06 | Schuler Scientific Solutions, Llc | Cartographie et traitement de tissu |
| US10660702B2 (en) | 2016-01-05 | 2020-05-26 | Farapulse, Inc. | Systems, devices, and methods for focal ablation |
| US10172673B2 (en) | 2016-01-05 | 2019-01-08 | Farapulse, Inc. | Systems devices, and methods for delivery of pulsed electric field ablative energy to endocardial tissue |
| US10105179B2 (en) | 2016-05-02 | 2018-10-23 | Affera, Inc. | Catheter sensing and irrigating |
| BR112018073746A8 (pt) * | 2016-05-20 | 2023-03-14 | Pentax Of America Inc | Conjuntos de ablação e de cabo, e, estrutura de identificação de cateter. |
| US12403305B2 (en) | 2016-06-27 | 2025-09-02 | Galvanize Therapeutics, Inc. | Immunostimulation in the treatment of viral infection |
| WO2018005511A1 (fr) | 2016-06-27 | 2018-01-04 | Gala Therapeutics, Inc. | Générateur et cathéter pourvu d'une électrode et procédé pour traiter une voie pulmonaire |
| ES3039648T3 (en) | 2016-10-04 | 2025-10-23 | Avent Inc | Cooled rf probes |
| US10528061B2 (en) * | 2016-10-25 | 2020-01-07 | Amazon Technologies, Inc. | Robotic ad hoc network |
| WO2018144090A2 (fr) | 2016-11-08 | 2018-08-09 | Innoblative Designs, Inc. | Dispositif d'étanchéité de vaisseau et de tissu électrochirurgical |
| EP3525705A4 (fr) * | 2016-12-15 | 2020-07-01 | St. Jude Medical, Cardiology Division, Inc. | Cathéter à ballonnet d'isolement de veine pulmonaire |
| EP3534816B1 (fr) | 2017-01-06 | 2021-12-08 | St. Jude Medical, Cardiology Division, Inc. | Cathéter à ballonnet d'isolement de veine pulmonaire |
| US20200205890A1 (en) * | 2017-07-25 | 2020-07-02 | Affera, Inc. | Ablation catheters and related systems and methods |
| JP2020530785A (ja) | 2017-07-26 | 2020-10-29 | イノブレイティブ デザインズ， インコーポレイテッド | アブレーション能力を有する低侵襲関節運動アセンブリ |
| US11052246B2 (en) * | 2017-07-28 | 2021-07-06 | Medtronic, Inc. | Expandable elements for delivery of electric fields |
| WO2019055512A1 (fr) | 2017-09-12 | 2019-03-21 | Farapulse, Inc. | Systèmes, appareils, et méthodes pour l'ablation focale ventriculaire |
| WO2019059914A2 (fr) * | 2017-09-21 | 2019-03-28 | Park Sam Boong | Procédés de fabrication d'étoffe électrochirurgicales |
| US12144532B2 (en) * | 2017-10-27 | 2024-11-19 | St. Jude Medical, Cardiology Division, Inc. | Apparatus and system for cryo-therapy balloon |
| WO2019133608A1 (fr) * | 2017-12-26 | 2019-07-04 | Gala Therapeutics, Inc. | Optimisation de la distribution d'énergie pour diverses applications |
| EP4595909A3 (fr) * | 2017-12-26 | 2025-08-13 | Galvanize Therapeutics, Inc. | Procédés, appareils et systèmes pour le traitement d'états et de troubles pathologiques |
| CN110192910A (zh) * | 2018-02-25 | 2019-09-03 | 鄂有国 | 可保护分离临近组织型经皮穿刺消融治疗装置 |
| WO2020061359A1 (fr) | 2018-09-20 | 2020-03-26 | Farapulse, Inc. | Systèmes, appareils et méthodes d'application d'une énergie d'ablation à champ électrique pulsé à un tissu endocardiaque |
| US12114919B2 (en) * | 2018-10-24 | 2024-10-15 | Boston Scientific Scimed, Inc. | Movable electrodes for controlled irreversible electroporation ablative volumes |
| WO2020236691A1 (fr) * | 2019-05-20 | 2020-11-26 | Innoblative Designs, Inc. | Ensemble mini-invasif pour ablation pulmonaire |
| US11660135B2 (en) * | 2019-12-05 | 2023-05-30 | Biosense Webster (Israel) Ltd. | Generating and interleaving of irreversible-electroporation and radiofrequnecy ablation (IRE/RFA) waveforms |
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2016
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| US20160278858A1 (en) | 2016-09-29 |
| US9387031B2 (en) | 2016-07-12 |
| CN103796603B (zh) | 2017-05-03 |
| CN103796603A (zh) | 2014-05-14 |
| CA2842350C (fr) | 2016-10-11 |
| EP2736432B1 (fr) | 2016-03-30 |
| EP2736432A1 (fr) | 2014-06-04 |
| WO2013019378A1 (fr) | 2013-02-07 |
| US10285755B2 (en) | 2019-05-14 |
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